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Psychosocial and cardiometabolic health of patients with differing body mass index completing cardiac rehabilitation

Canadian Journal of Cardiology Mar 10, 2019

Terada T, et al. - Researchers intended to clarify if the benefits of cardiac rehabilitation (CR) were similar in patients with varying levels of body mass index (BMI). For this purpose, they evaluated the psychosocial and cardiometabolic health of 582 patients who completed a three-month outpatient CR program. The patients were classified, taking into account their BMI at baseline, as normal (18.5-24.9 kg/m2); overweight (25.0-29.9 kg/m2); obese (30.0-34.9 kg/m2); or severely obese (≥35.0 kg/m2). After CR, BMI categories were compared with respect to health-related quality of life (ie, Physical Component Summary [PCS] and Mental Component Summary [MCS] scores), anxiety, depression, and cardiometabolic health indicators, by using ANCOVA. Obese and severely obese patients exhibited poorer psychosocial and cardiometabolic health at baseline as well as smaller improvements in the PCS score; these findings, taken together, were suggestive of a beneficial impact of enhanced care in the CR setting in patients with obesity and severe obesity.
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